Play Safe LLC
Organization Active NPI Multi-Specialty Clinic/Center · Hallandale, FL
NPI 1255729026 · NPPES record last updated Mar 18, 2015
Key facts
- NPI
- 1255729026
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- ME47182 (FL)
- Legal business name
- PLAY SAFE LLC
- Practice address
- 1008 West Hallandale Beach Blvd
Hallandale, FL 33009 - Phone
- (954) 456-5680
- Fax
- (954) 456-5682
- NPI assigned
- Jan 2, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- PLAY SAFE LLC
Authorized official
- Name
- Vivian Chona, ARNP
- Title
- Arnp/Owner
- Phone
- (954) 456-5680
National Provider Directory
- Part of
- Play Safe LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | ME47182 | FL | Yes |
| Multi-Specialty Clinic/Center | 261QM1300X | ARNPN9192902 | FL | |
| Multi-Specialty Clinic/Center | 261QM1300X | ARNP9192984 | FL |
Addresses
Primary practice location
1008 West Hallandale Beach Blvd
Hallandale, FL 33009
Mailing address
1008 West Hallandale Beach Blvd
Hallandale, FL 33009
Phone (954) 456-5680
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010284000 | Medicaid | FL | |
| 000274400 | Medicaid | FL |
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All providers in Hallandale, FL · Multi-Specialty Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.